A picture of my face. I knew it.

Briefly introduce:? The face of adenoids is characterized by long maxilla, high arch of mandible, irregular dentition, prominent upper incisors, thick lips and no expression. ?

Adenoid hypertrophy (adenoids? Hypertrophy is a kind of pharyngeal tonsil hyperplasia. Adenoid hypertrophy in children is often physiological. There are lymphoid tissues in the nasopharynx at birth, which proliferate with age. It reached its maximum at the age of 6, and then gradually degenerated. If it affects the whole body health or adjacent organs, it is called adenoidal hypertrophy. ?

Etiology?

Childhood is prone to acute rhinitis, acute tonsillitis and influenza. If repeated attacks, adenoids can rapidly proliferate and hypertrophy, aggravate nasal congestion and hinder nasal drainage. Rhinitis and sinusitis secretions will stimulate adenoids to continue to proliferate, forming a vicious circle of causality. It is more common in children and often coexists with chronic tonsillitis. ?

Symptoms?

(1) local symptoms: children with adenoid hypertrophy blocking the nostril and eustachian tube pharynx may have otorhinolaryngology and other symptoms. It is characterized by breathing with the mouth open during sleep, falling behind the base of the tongue, frequent snoring, restless sleep at night, excessive nasal secretions, nasal obstruction when speaking, and slurred speech. Long-term open mouth breathing leads to facial skeletal development disorder, long maxilla, high arch of hard palate, irregular dentition, exposed upper incisors, thick lips, lack of facial expression and dementia, forming an "adenoid face". Dyskinesia between swallowing and breathing often leads to suffocation. Secretion flows downward, which stimulates respiratory mucosa and is prone to bronchitis. Obstruction of eustachian tube is easy to cause non-suppurative otitis media, leading to decreased suction and invagination of tympanic membrane. ?

(2) Systemic symptoms: There are often systemic nutritional and developmental disorders, mainly manifested as chronic toxic reflex nervous system symptoms, such as dull expression, chest tightness, atelectasis, long-term chicken chest or flat chest. A few people suffer from cor pulmonale and even acute heart failure due to chronic nasal congestion and long-term hypoxia. ?

Check?

Examination shows adenoid surface, high and narrow hard palate, pink lobulated lymphoid tissue at the top of nasopharynx, soft mass can be touched by palpation of nasopharynx, and lateral film of nasopharynx can be taken if necessary, which is helpful for diagnosis. ?

Treatment?

Surgical removal of adenoids can be performed simultaneously or separately during tonsillectomy. Radiotherapy can be considered if it is not suitable for surgery.